Active NPI
Tinoy Matamana, PT
- Physical Therapist
- Laveen, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1288000
- Practice address
- 5045 W Baseline Rd
Suite 120
Laveen, AZ 85339-7392 - Phone
- (602) 605-8982
- Fax
- (602) 237-8861
- NPI assigned
- Jan 26, 2009
- Last updated
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1288000 | TX | Primary |
| Physical Therapist | 225100000X | 8241 | AZ |
Addresses
Primary practice location
5045 W Baseline Rd
Suite 120
Laveen, AZ 85339-7392
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Fairway Dr
Suite 400
Carrollton, TX 75010-6538
Phone (972) 394-3325
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1288000 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Therapro Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Therapro Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437
12747 Midway Rd
Ste 150
Dallas, TX 75244
Phone (469) 872-4562
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072
410 W FM 544
Ste 105
Murphy, TX 75094
Phone (469) 606-5003
308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606
4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420
1450 E Belt Line Rd
Ste 200
Richardson, TX 75081
Phone (214) 210-4409
210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178
3005 Lakeview Pkwy
Ste 400
Rowlett, TX 75088
Phone (214) 607-9304
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
809 Woodbridge Pkwy
Ste 200
Wylie, TX 75098
Phone (469) 299-5803
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Physical Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1942448238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 W BASELINE RD",
"address_2": "SUITE 120",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397392",
"telephone_number": "602-605-8982",
"fax_number": "602-237-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATAMANA",
"first_name": "TINOY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-26",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1288000",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8241",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.